Patient's question:
I am 32 years old and have had the habit of sexual intercourse for 3 years. It takes only two or three minutes to ejaculate. I feel cold in winter and often have dizziness... Now, premature ejaculation has reappeared again and again. Is premature ejaculation due to kidney yang deficiency or kidney yin deficiency? What kind of medicine can treat it?Doctor's answer:
Excessive and frequent sexual activity can lead to kidney deficiency, which may manifest as either kidney Yang deficiency or kidney Yin deficiency. Clinical diagnosis should be based on the symptoms experienced by the individual following sexual activity. Symptoms such as lower back and knee pain, fatigue, or aversion to cold indicate kidney Yang deficiency. If accompanied by symptoms like a feeling of heat in the palms, soles, and heart, as well as a thin and rapid pulse, it suggests kidney Yin deficiency. For kidney Yin deficiency, oral medications such as Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) and Zuo Gui Wan (Left-Gui Wan) are recommended. For kidney Yang deficiency, oral medications like Jin Gui Shen Qi Wan (Golden Cabinet Kidney Qi Pill) and You Gui Wan (Right-Gui Wan) can be taken.